<div class="panel panel-success">
	<div class="panel-heading"><h3 class="panel-title">哇咔后台管理系统--中道资金充值</h3></div>
	<div class="panel-body">
		<div class="row">
			<div class="col-md-10 col-md-offset-1">
				<form action="/Manage/recharge" method="post">
					<ul class="list-group">
						<li class="list-group-item active">中道资金充值</li>
						<li class="list-group-item">
							<div class="row">
								<div class="col-md-4 text-center" style="margin-top: 5px;"><span class="label label-primary">充值方向: </span></div>
								<div class="col-md-8">
									<label class="radio-inline">
										<input type="radio" name="user_cust_id" value="6666000000031462"> 中道基本户
									</label>
									<label class="radio-inline">
										<input type="radio" name="user_cust_id" value="6666000000030243"> 汪卡基本户
									</label>
									<label class="radio-inline">
										<input type="radio" name="user_cust_id" value="32466-32467"> 汪卡基本户向手续费专户转账
									</label>
									<label class="radio-inline">
										<input type="radio" name="user_cust_id" value="32466-33798"> 汪卡基本户向中道基本户转账
									</label>
								</div>
							</div>
						</li>
						<li class="list-group-item">
							<div class="row">
								<div class="col-md-4 text-center" style="margin-top: 5px;"><span class="label label-primary">充值金额: </span></div>
								<div class="col-md-8">
									<div class="input-group">
										<span class="input-group-addon" style="padding: 5px 15px;">￥ </span>
										<input type="number" name="money" class="form-control input-sm" placeholder="请输入需要充值或转账的金额">
									</div>
								</div>
							</div>
						</li>
						<!--<li class="list-group-item">
							<div class="row">
								<div class="col-md-4 text-center" style="margin-top: 5px;"><span class="label label-primary">手机号码: </span></div>
								<div class="col-md-8">
									<div class="input-group">
										<input type="number" name="user_mobile" class="form-control input-sm" placeholder="请输入手机号码" ng-model="mobile">
										<span class="input-group-btn">
											<button class="btn btn-default btn-sm" type="button" ng-click="sendSms()">发送手机验证码</button>
										</span>
									</div>
								</div>
							</div>
						</li>
						<li class="list-group-item">
							<div class="row">
								<div class="col-md-4 text-center" style="margin-top: 5px;"><span class="label label-primary">手机验证码: </span></div>
								<div class="col-md-8">
									<div class="input-group">
										<input type="number" name="sms_code" class="form-control input-sm" placeholder="请输入手机验证码">
									</div>
								</div>
							</div>
						</li>-->
						<li class="list-group-item">
							<div class="row">
								<div class="col-md-6">
									<button class="btn btn-primary btn-block" type="submit">确认充值</button>
								</div>
								<div class="col-md-6">
									<button class="btn btn-warning btn-block" type="reset">取消关闭</button>
								</div>
							</div>
						</li>
					</ul>
					<input type="hidden" name="sms_order_id" value="{{order_id}}">
					<input type="hidden" name="sms_order_date"  value="{{order_date}}">
				</form>
			</div>
		</div>
	</div>
</div>